E hānau koke ʻia anei kāu pēpē ma mua o ka mea i manaʻo ʻia? E kamaʻilio kākou e pili ana i ka (Precipitous Labour)!

ʻIke ʻoe, i kekahi manawa hiki i ka huakaʻi e hālāwai me kāu pēpē ke wikiwiki loa a hiki ʻole iā ʻoe ke noʻonoʻo. Kāhea mākou i kēia he hānau wikiwiki, a i ʻole e like me ke kāhea ʻana o nā kauka, "Hana Nui" a i ʻole "Hana wikiwiki." Manaʻo paha kekahi poʻe, "ʻAe, ʻoi aku ka maikaʻi o ka hoʻopau koke ʻana," no ka mea, ʻoi aku ka maikaʻi ma mua o ka hoʻomanawanui ʻana i nā hola o ka hānau ʻana. Akā ʻo ka ʻoiaʻiʻo, hiki i ka hānau wikiwiki ke hoʻoweliweli i ka makuahine a me ke pēpē. No laila, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā, me he mea lā e kamaʻilio ana kākou me kahi hoaaloha, ʻae?

He aha ka Precipitous Labor? I ka pōkole...

I ka ʻōlelo maʻalahi, ʻo ka `(Precipitous Labour)` he hana wikiwiki loa a pōkole. Inā loaʻa iā ʻoe nā ʻūlū maʻamau a hānau ʻia ka pēpē i loko o ʻekolu hola , ʻo ia ka mea a mākou e kapa nei he hana precipitous. ʻO kēia mau ʻūlū ka wā e paʻa ai a hoʻomaha nā ʻiʻo o kou ʻōpū (`(Uterine Contractions)`), e kōkua i ka hoʻokuke ʻana i ka pēpē i waho. E noʻonoʻo e pili ana i ia mea, he ʻeono a ʻumikumamāwalu hola ka lōʻihi o ka hana maʻamau, i kekahi manawa ʻoi aku ka lōʻihi. Akā, ʻaʻole pēlā ma kēia hihia. Hoʻokaʻawale kekahi mau kauka i ka hana i emi iho ma mua o ʻelima hola e like me kēia.

No laila, he mea kūpono ke noʻonoʻo, "Auē, maikaʻi loa ka hana koke ʻia!" Akā, e like me kā mākou i ʻōlelo ai ma mua, hiki ke loaʻa kahi haunaele iki i kēia huakaʻi wikiwiki.

He aha ke ʻano o ka hānau keiki ʻana i ka wā hānau mua? (E makaʻala i kēia mau hōʻailona)

Hiki ke ʻokoʻa nā hōʻailona o ka "Rapid labor " mai kēlā me kēia kanaka. Eia nō naʻe, i ka hapanui o nā hihia, aia paha kekahi a ʻoi aku paha o kēia mau mea:

• Hoʻomaka koke ka ʻeha a kokoke loa kekahi i kekahi. ʻAʻohe nui o ka haki ma waena o nā ʻeha, e like me ka hānau ʻana maʻamau. E noʻonoʻo, i kou wā maʻamau, me ka ʻole o ka ʻōlelo aʻo, hoʻomaka ʻoe e loaʻa i nā ʻeha nui loa, kekahi ma hope o kekahi, me ka ʻole o ka haki!
• He ʻeha mau a hiki ʻole ke hoʻomanawanui e hiki koke mai ana ma mua o ka hoʻonui mālie ʻana. ʻO ka maʻamau, hoʻomaka mālie ka ʻeha a lilo i mea ʻino . ʻAʻole ia e hana ma kēia hihia.
• Manaʻo ʻoe i ka makemake nui e paʻi i ka pēpē. Wahi a kekahi mau makuahine, me he mea lā e pono ai lākou e hele i ka lua.

I ka hana maʻamau, hoʻomaka nā ʻeha me he mau ʻūlū palupalu a ʻoi. ʻAʻole lākou e hele mai i ka manawa like, a hiki ke ʻano ʻē. Hiki i kēia kaʻina hana ke hala i nā hola, a i nā lā paha. Akā i ka "hana wikiwiki", ʻaneʻane ʻole kēlā mau ʻūlū palupalu a ʻoi. Hiki iā ʻoe ke loaʻa koke, wikiwiki, a koʻikoʻi.

No ke aha lā e hānau koke ai kākou i nā keiki? (Nā kumu a me nā pilikia)

ʻAʻohe mea i ʻike pono i ke kumu o kēia.Eia nō naʻe, aia kekahi mau kumu e hiki ke hoʻonui i kou manawa kūpono e loaʻa ai kēia ʻano hānau mua ʻole, a i ʻole ka pilikia. E nānā kākou i ke ʻano o lākou.

• Inā ua hānau mua ʻoe i kahi keiki : Ua ʻike mākou he pōkole ka manawa e pono ai e loaʻa ai kahi pēpē ʻelua a ʻekolu paha ma mua o ka mua.
• Inā ua loaʻa iā ʻoe kahi hānau wikiwiki e like me kēia ma mua: He wahi liʻiliʻi paha e hana hou ʻia ai.
• Inā ʻoi aku ka liʻiliʻi o kāu pēpē ma mua o ka maʻamau: ʻOi aku ka liʻiliʻi o ke pēpē, no laila ʻoi aku ka maʻalahi o ka puka koke ʻana i waho.
• Inā ke ʻūlū ikaika loa nei kou ʻōpū a me ka pono: ʻO ke ʻano kēia ke hana pono nei nā ʻiʻo o ka ʻōpū a ke kipaku koke nei i ka pēpē i waho.
• Inā palupalu a palupalu loa ke kahawai hānau o kāu pēpē, e maʻalahi ka pēpē e puka mai .
• Inā he koko kiʻekiʻe kou (Hypertension): ʻO ke ʻano kēia ua kiʻekiʻe kou koko.
• Inā ua loaʻa iā ʻoe ka hānau keiki me kekahi mau lāʻau lapaʻau, e like me prostaglandins : I kekahi manawa hiki i kēia mau lāʻau lapaʻau ke hoʻolalelale i ka hānau keiki.
• Inā ua loaʻa iā ʻoe kekahi mau lāʻau lapaʻau, e like me `(Cocaine)`.

Inā manaʻo ʻoe ua pilikia ʻoe no kēia ʻano hānau keiki ʻana ma mua o ka manawa, e kamaʻilio me kāu kauka. Hiki iā ia ke nānā i kāu mau moʻolelo lapaʻau a haʻi iā ʻoe inā he mea āu e pono ai e hana e hoʻomākaukau ai.

He aha nā pilikia e hiki ke kū mai no ka makuahine a me ke keiki ma muli o ka hānau mua ʻana?

ʻAʻole ka hānau wikiwiki ʻana e like me kēia kahi mea a mākou e manaʻo nei. ʻAʻole hana ʻia nā mea e like me ka manaʻo o ka hapa nui o nā makuahine. Hiki ke hoʻoluhi i ka noʻonoʻo a me ke kino ke hana ʻia nā mea me ka mana ʻole. E noʻonoʻo wale, hana wikiwiki nā mea āpau, ʻaʻole paha ʻoe e loaʻa ka manawa e hele ai i ka haukapila, a i ʻole e kiʻi i ka lāʻau ʻeha a i ʻole ka epidural. Hiki i ka ʻike holoʻokoʻa ke weliweli a me ke kaumaha.

ʻO nā pilikia ʻē aʻe e hiki i ka makuahine ke loaʻa:

• Ke kahe nui ʻana o ke koko ma hope o ka hānau ʻana. Kāhea pū mākou i kēia "Hemo koko ma hope o ka hānau ʻana". Hiki ke lilo i mea weliweli kēia.
• I kekahi manawa hiki iā ʻoe ke komo i ka haʻalulu. ʻO ke ʻano kēia ʻaʻole lawa ke koko a me ka oxygen i nā ʻōpū a me nā ʻiʻo o kou kino.
• ʻOi aku ka nui o ka haehae ʻana o ka vagina a me ka ʻāpana a puni (Perineum). Kāhea pū mākou i kēia he "Perineal tears" a i ʻole "Vaginal lacerations". Hiki i kēia ke hōʻeha i ka ʻeha ma hope.
• Hiki ke paʻa ka placenta i loko o ka ʻōpū me ka puka ʻole ʻana i waho.
• Hiki ke hānau ʻia kahi pēpē i loko o kahi kaʻa a i ʻole kahi i maʻemaʻe ʻole ʻia a hoʻomaʻemaʻe ʻia. Hiki i kēia ke hoʻoulu i nā maʻi no ka makuahine a me ka pēpē.
• Hiki ke loaʻa ke kaumaha nui a me ka ʻeha. Hiki i kēia ʻike ke hoʻolilo iā ʻoe i ke kaumaha, ka makaʻu, a me ka hopohopo.
• No kekahi mau maʻi (no ka laʻana, ka Group B strep), ʻaʻole paha i hiki ka manawa e hāʻawi ai i nā antibiotics ma mua o ka hānau ʻana o ka pēpē. Hoʻonui kēia i ka pilikia o ka loaʻa ʻana o kahi maʻi i ka pēpē.

ʻO nā pilikia e hiki ke loaʻa i ke keiki:

• Ma mua o ka puka ʻana o ke pēpē, hiki ke hanu ʻia ka ʻōpala mua o ke pēpē, i kapa ʻia ʻo "Meconium." Hiki i kēia ke pilikia i ka hanu ʻana no ke pēpē.
• Inā hānau ʻia ke pēpē ma kahi haumia, hiki i ke pēpē ke loaʻa i nā maʻi.
• Hiki i ka hānau mua ʻana ke hana i kahi hōʻeha i ka pēpē.

He mea i manaʻo ʻole ʻia ka hānau koke ʻana, no laila he mea nui e mākaukau ka noʻonoʻo e hoʻoponopono iā ia.

He ʻoi aku ka ʻeha maoli i ka wā hānau wikiwiki?

He nīnau kēia a ka poʻe he nui e nīnau ai. ʻAe, i kekahi manawa hiki i ka ʻeha ma ka "Precipitous Labour" ke ʻoi aku ka koʻikoʻi ma mua o ka hānau maʻamau. Aia kekahi mau kumu no kēia:

• ʻAʻole ʻoe e loaʻa ka manawa e kiʻi ai i kahi epidural a i ʻole kekahi lāʻau ʻeha ʻē aʻe.
• He ʻeha nui loa a ikaika hoʻi.
• ʻAneʻane ʻaʻohe wahi hoʻomaha mai ka ʻeha. He mea paʻakikī ke hoʻomanawanui i ka wā e hoʻomau ai ka ʻeha.
• Hiki ke haehae a ʻeha ka ʻōpū i ka wā e hānau koke ai ke pēpē.
• Me kēia hopohopo a pau, hiki iā ʻoe ke poina e pili ana i nā ʻano hana hanu a pehea e hoʻomaha ai, kahi e hiki ai ke hoʻonui i ka ʻeha.

"ʻAuē, ke manaʻo nei au e hānau ana au!" He aha kāu e hana ai inā manaʻo ʻoe pēlā?

ʻAʻole paha ʻoe e hiki ke kāohi i ka wikiwiki o ka hānau ʻana. Eia nō naʻe, inā ʻoe e kū nei i kahi hānau wikiwiki, aia kekahi mau mea hiki iā ʻoe ke hana:

• E kelepona koke aku i kāu kauka hānau keiki. Inā makemake ʻoe i ke kōkua koke, e kelepona i kahi helu pilikia e like me 1990 (Suvaseriya).
• E hoʻāʻo e hōʻoluʻolu i kou manaʻo. E noʻonoʻo i nā manaʻo maikaʻi, a e hanu hohonu. He mea paʻakikī kēia, akā he mea pono ke hoʻāʻo.
• E hōʻoia i kekahi me ʻoe i nā manawa āpau e hiki ai. Mai noho mehameha.
• E hoʻāʻo e hoʻomaʻemaʻe i kou wahi e like me ka hiki, a i ʻole e hele i kahi maʻemaʻe.
• Inā hiki, e huli i ka hema a moe i lalo.

Pehea e hiki ai iā ʻoe ke ʻike ma mua a hoʻomākaukau no ka hānau mua ʻana?

ʻO ka wikiwiki o ka hānau ʻana o kāu keiki, ʻaʻole ia he mea hiki iā ʻoe ke kaohi. Inā ua loaʻa iā ʻoe kahi hānau wikiwiki ma mua, ke noʻonoʻo nei paha ʻoe, "Pehea lā wau e hoʻomākaukau ai no ia mea inā e hana hou ʻia?"

ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana e hoʻomākaukau ai no ka hānau koke ʻana e like me kēia, ʻo ia ka hoʻomākaukau ʻana i kāu ʻeke haukapila i kekahi mau pule ma mua o ka lā hānau o kāu pēpē. E hoʻokomo i nā mea ʻē aʻe āu e pono ai inā he pilikia. Eia kekahi laʻana:

• Mea hoʻomaʻemaʻe lima a i ʻole mea hoʻomaʻemaʻe lima ʻē aʻe.
• He mau kāwele a me nā pākeke.
• Nā diaper a me nā lole keu no ka pēpē.

Hiki paha ke loaʻa kahi hoʻokomo e pale ai i ka hana mua ʻana a hōʻoluʻolu i ka ʻeha ma o ka hāʻawi ʻana i ka lāʻau lapaʻau ma mua?

Inā manaʻo kāu kauka he kiʻekiʻe kou pilikia o ka hānau koke ʻana, hiki iā ia ke kuhikuhi i ka hoʻokomo mua ʻana. Eia nō naʻe, pono e hana ʻoe a me kāu kauka i kēia hoʻoholo, me ka noʻonoʻo ʻana i kou mōʻaukala olakino a me nā kūlana kūikawā ʻē aʻe i kou wā hāpai. Aia kekahi mau pilikia i kēia ʻano hoʻokomo. No laila, inā hopohopo ʻoe e pili ana i ka hānau koke ʻana, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i ia mea.

He mea maʻamau anei ka "Precipitous Labor" i nā kānaka he nui?

Ua hōʻike ʻia kekahi noiʻi e loaʻa ana kēia ʻano, i kapa ʻia ʻo "precipitous labor," ma kahi o 3% o nā hānau ʻana a pau. ʻAʻole ia he manaʻo like ia no nā kānaka a pau. Eia nō naʻe, inā loaʻa iā ʻoe kahi precipitous labor, ʻoi aku ka nui o ka manawa e hānau ʻia ai kāu pēpē "preterm."

Ua kapa ʻia kēia ʻo `(Precipitous Labour)` a ʻoi aku paha ka manaʻo ʻole o kāu hānau ʻana ma mua o kou manaʻo. ʻOiai he mea maikaʻi ke lohe ʻana e hānau wikiwiki ana ʻoe, hiki iā ia ke hana i nā pilikia no ka makuahine a me ka pēpē. Inā hopohopo ʻoe no kēia, e kamaʻilio me kāu kauka hānau keiki e pili ana i kou mōʻaukala olakino a ʻike inā he pilikia ʻoe. ʻAʻole maʻamau ka `(Precipitous Labour)`, akā he mea naʻauao ke mākaukau no ia mea.

No laila, e nānā kākou i kekahi o nā mea e pono ai kākou e hoʻomanaʻo mai nā mea a kākou i kamaʻilio ai. (Leka Lawe-Home)

ʻAe, ua kamaʻilio nui mākou e pili ana i ka "Precipitous Labor". ʻO ka mea hope loa, eia nā mea nui e pono ai ʻoe e hoʻomanaʻo e pili ana i ia mea:

• Hiki i ka hānau koke ʻana ke lilo i mea koke a manaʻo ʻole ʻia. No laila e hoʻāʻo e pale i ka hopohopo a e noho mālie e like me ka hiki.
• ʻOiai paha he manaʻo maikaʻi ka loaʻa ʻana o kahi pēpē i ka wā ʻōpiopio, aia kekahi mau pilikia e hiki ke loaʻa no ka makuahine a me ka pēpē. No laila he mea nui e makaʻala i kēia.
• Inā ua hānau mua ʻoe, a inā he mau kumu pilikia kou no ia mea, e kamaʻilio me kāu kauka e pili ana i ia mea i hiki iā ʻoe ke hoʻomākaukau ma mua.
• ʻOiai ʻaʻole kēia he mea maʻamau loa (ma kahi o 3%), ʻoi aku ka maikaʻi o ka mākaukau no kekahi mea.Hiki i nā mea liʻiliʻi e like me ka hoʻomākaukau ʻana i kāu ʻeke haukapila ma mua ke kōkua nui.
• Inā hoʻomaka koke ka ʻeha a lilo i mea ʻino loa, e ʻimi koke i ke kōkua lapaʻau. Mai hoʻonele i ka manawa.

Manaʻolana wau he mea pono kēia ʻike nou. E noho olakino a hauʻoli hoʻi!

ʻO ka hānau wikiwiki ʻana, ka hānau wikiwiki ʻana, ka hāpai ʻana, ka hānau keiki ʻana, nā ʻeha hānau, nā pilikia hānau, ke olakino o ka makuahine a me ka pēpē